YELITZA BALAGUER
Lake Worth,FL
Summary
Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance performance. Operates well in both individual and team capacities, leveraging seasoned work ethic and interpersonal skills to quickly adapt to different processes and drive company objectives.
Overview
21
21
years of professional experience
1
1
Certification
Work History
MRA Coding Supervisor
Conviva Care Solutions
08.2023 - Current
- Developed strong relationships with key stakeholders, including physicians and other healthcare professionals, to foster a collaborative approach toward accurate medical coding.
- Conducted internal audits of coded records to identify potential compliance issues or areas requiring additional training for coders.
- Promoted a positive work environment by addressing coder concerns promptly and effectively while fostering open lines of communication among team members.
- Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Generated reports to identify coding trends and discrepancies.
- Managed a team of coders, providing guidance, support, and mentorship to enhance their professional growth and development.
- Facilitated communication among coding staff through regular team meetings, fostering an environment of collaboration and knowledge sharing.
- Prepared and maintained regular performance reports for management, identifying trends and areas for potential improvement within the department.
- Increased efficiency within the department by delegating tasks strategically based on coder expertise and workload capacity.
Certified Medical Coder
Conviva Care Solutions
05.2017 - 08.2023
- Maintained up-to-date knowledge of current coding guidelines and regulations
- Provided education and guidance to physicians regarding proper documentation requirements for accuracy
- Identified unreported HCC codes in notes or records to reflect severity of patient condition
- Evaluated documentation to complete diagnosis coding and meet specificity requirements, supporting clinical indicators
- Demonstrated expertise in resolving coding issues and responding to inquiries from healthcare providers.
- Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
Medical Records Clerk, Referral Coordinator, Coder
MCCI Group
04.2005 - 05.2017
- Retrieved requested medical records in a timely manner while maintaining confidentiality of protected health information
- Scheduled appointments for patients requiring follow-up care or additional services
- Demonstrated expertise in organizing, filing, and retrieving patient records accurately and efficiently
- Compiled and maintained patient medical records in accordance with applicable legal requirements
- Monitored incoming mail for new or updated patient information
- Managed incoming calls regarding referrals in a professional manner while providing accurate information
- Established relationships with local health systems to ensure timely referrals for patients.
Sales Associate, Department Manager
Kmart
09.2003 - 04.2005
- Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
- Maintained accurate inventory records to ensure adequate stock levels, minimizing out-of-stock situations that could impact customer satisfaction.
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Assisted in inventory management tasks, such as stock replenishment and cycle counts, to ensure product availability.
- Increased customer loyalty with personalized shopping experiences and attentive service.
Skills
- Performance Optimization
- HIPAA Compliance
- Clinical Documentation
- Training and mentoring
- Medical Terminology
- Workflow Management
- Knowledgeable in Excel
- Performance Improvement
- Documentation oversight
- ICD 10/CPT coding
- Problem-Solving
- Effective Communication
- Adaptability and Flexibility
- Adaptability
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
Languages
Spanish
English
Timeline
MRA Coding Supervisor
Conviva Care Solutions
08.2023 - Current
Certified Medical Coder
Conviva Care Solutions
05.2017 - 08.2023
Medical Records Clerk, Referral Coordinator, Coder
MCCI Group
04.2005 - 05.2017
Sales Associate, Department Manager
Kmart
09.2003 - 04.2005
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